Mary Ellen Brown (NPI# 1073794814, PAC ID# 7810076668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1073794814 |
PAC ID by PECOS | 7810076668 |
Professional Enrollment ID | I20080505000466 |
Full Name | Mary Ellen Brown |
Organization Legal Name | WNY MEDICAL PC |
Address |
2600 S Park Ave Lackawanna NY 14218-1504 |
Phone Number | 7168222028 |
Gender | F |
Graduation Year | 2006 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9335191733 |
Number of Group Practice Members | 43 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
330279 | MERCY HOSPITAL OF BUFFALO |
330078 | SISTERS OF CHARITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
4979 Harlem Rd, Amherst, NY 14226-2547 | 7169234380 | WNY MEDICAL PC |
2600 S Park Ave, Lackawanna, NY 14218-1504 | 7168222028 | WNY MEDICAL PC |
Organization Legal Name | WNY MEDICAL PC |
Physicians | 43 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda N Smith | Physician Assistant | Wny Medical PC | 1310 French Rd, Depew, NY 14043-4870 |
Mohammad A Saeed | Psychiatry | Wny Medical PC | 4985 Harlem Rd, Amherst, NY 14226-2544 |
Alfredo M Rodes | Internal Medicine | Wny Medical PC | 3595 Eggert Rd, Orchard Park, NY 14127-1929 |
Majeed Siddiqui | General Practice | Wny Medical PC | 200 7th St, Buffalo, NY 14201-2161 |
Kathleen Ziomek | Nurse Practitioner | Wny Medical PC | 4979 Harlem Rd, Amherst, NY 14226-2547 |
Karen W Manning | Nurse Practitioner | Wny Medical PC | 3320 N Benzing Rd, Orchard Park, NY 14127-1538 |
Debra S Longbine | Physician Assistant | Wny Medical PC | 6970 Erie Rd, Derby, NY 14047-9591 |
Anne M Bantle | Nurse Practitioner | Wny Medical PC | 4979 Harlem Rd, Amherst, NY 14226-2547 |
Marie L Bakowski | Clinical Social Worker | Wny Medical PC | 4979 Harlem Rd, Amherst, NY 14226-2547 |
Jack Cukierman | Endocrinology | Wny Medical PC | 4979 Harlem Rd, Amherst, NY 14226-2547 |
Street Address |
2600 S PARK AVE |
City | LACKAWANNA |
State | NY |
Zip | 14218-1504 |
Name | Specialty | Organization | Address |
---|---|---|---|
Norma Quijada | Endocrinology | Wny Medical PC | 2600 S Park Ave, Lackawanna, NY 14218-1504 |
Pervez A Khan | General Practice | Wny Medical PC | 2600 S Park Ave, Lackawanna, NY 14218-1504 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elaine Clutterbuck | Certified Nurse Midwife (cnm) | Mercy Hospital of Buffalo | 227 Ridge Rd, Lackawanna, NY 14218-1156 |
Gary C Wysocki | Physician Assistant | Sisters of Charity Hospital of Buffalo New York | 227 Ridge Rd, Lackawanna, NY 14218-1156 |
Danielle Leach-minazzi | Nurse Practitioner | Sisters of Charity Hospital of Buffalo New York | 227 Ridge Rd, Lackawanna, NY 14218-1156 |
Svetlana Blitshteyn | Neurology | Buffalo Synapse Support LLC | 609 Ridge Rd, Lackawanna, NY 14218-1411 |
Branko G Karakas | Internal Medicine | 1177 Ridge Rd, Lackawanna, NY 14218-1816 | |
Howard Penn | Podiatry | 1271 Ridge Rd, Lackawanna, NY 14218-1820 |
City | LACKAWANNA |
Zip Code | 14218 |
Specialty | NURSE PRACTITIONER |
City + Specialty | LACKAWANNA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary Ellen Brown.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.